Metabolic syndrome (MetS) is defined by a set of components including hyperglycemia, dyslipidemia, hypertension, and central obesity. Despite the well-established association between MetS and chronic kidney disease (CKD) whose prevalence is on the increase, significant gap remains in our understanding of the relationship between kidney dysfunction and individual components of MetS, particularly in Nigeria. The objectives were to determine the prevalence of kidney dysfunction among adults with MetS and to examine the relationship of key components of MetS with kidney dysfunction using a cross-sectional study of randomly selected hospital outpatients with MetS. Kidney function was assessed using estimated glomerular filtration rate (eGFR). Descriptive and inferential statistical analyses were performed and statistical significance was set at p < .05. The mean age of the 75 study participants with MetS was 53.33 ± 13.94 years. Females constituted 65.3% and males, 34.7%. The prevalence of kidney dysfunction (eGFR < 60 mL/min/1.73 m²) was 36.0%, with no significant difference between genders. The key components of MetS that significantly correlated with kidney function were blood pressure, serum high density lipoprotein-cholesterol, and triglyceride. The same components independently predicted kidney function. To conclude, the study highlights the considerable burden of kidney dysfunction among adults with metabolic syndrome in Nigeria. Hypertension and dyslipidemia were the components of metabolic syndrome significantly associated with kidney dysfunction. Screening, early detection and targeted interventions including lifestyle modification and appropriate drug management are crucial to mitigate the impact of metabolic syndrome on kidney health, to improve health outcomes and to reduce CKD burden.

Identifying the psychological instability in mental health assessment through the application of ML techniques, using the principally the RFA (Random Forest Algorithm). This research investigates the application of machine learning techniques to detect psychological instability in individuals. By employing a variety of algorithms, including both supervised and unsupervised learning methods, this study aims to predict psychological states based on diverse data inputs such as behavioural patterns, physiological signals, and social interactions. The models are developed and validated using datasets from clinical studies, social media activity, and wearable health devices. The results illustrate the capability of ML to provide accurate and timely predictions of psychological instability, offering valuable insights for early diagnosis and intervention in mental health care. This study advances the field by demonstrating a data-driven approach to understanding and managing psychological health.

The main objective of this study was to look for the electromagnetic interference produced by medical devices in hospitals and to evaluate its impacts on the proper functions of such devices. However, the present study encountered other important problems with regard to CT scanner and X-ray Imaging systems. Such problems demand fast responses in order to secure health safety for the patients and the operators of such systems.

Introduction: Haemorrhages in the third trimester of pregnancy are nowadays a frequent situation that can jeopardize the maternal-fetal prognosis. Given its scale and degree of seriousness, this work was initiated to assess the contribution of ultrasound in its management. Material and Methods: This was a descriptive cross-sectional study with retrospective data collection which took place at the Kalabancoro Reference Health Center from May 1, 2022 to October 31, 2022. Its objective was to study the contribution of ultrasound in the management of haemorrhage in the third trimester of pregnancy. Results: During the study, 154 cases of haemorrhage in the third part of pregnancy out of 2,546 pregnancies were recorded, representing a frequency of 3.4%. The average age of the patients was 27 ± 3.5 years with extremes of 16 and 38 years. Married women were the most represented with 84.4%. Out-of-school women were the most represented, accounting for 63.6% of cases. Multiparous women were the most represented with 39.6% cases. Arterial hypertension was the most common medical history, i.e. 66.6%. Bleeding during pregnancy was the most frequent reason for consultation with 87.6%. Retroplacental hematoma was the predominant etiology, i.e. 67.5%. In utero fetal death was found in 54.5% of cases. Conclusion: The contribution of ultrasound was very important in the therapeutic decision-making. Emergency caesarean section was performed in 66.7% of cases.

Introduction: The use of artificial intelligence (AI) in medical settings has shown promise in various domains including diagnostics, treatment recommendation, and patient management. Recent advances have explored the potential of AI in pre-surgical assessments, but its application in transplant psychology remains unexplored. The objective of this study is to assess the effectiveness of AI in the context of screening potential liver transplant donors and recipients. To assess the feasibility of using ChatGPT-4 to screen potential liver transplant donors and recipients. Methods: This study utilizes a cross-sectional research design to evaluate the feasibility of using ChatGPT-4 in the preliminary screening of living liver donors and liver transplant candidates. The study aims to determine the accuracy and reliability of ChatGPT-4 in assessing hypothetical scenarios involving potential donors and recipients. Results: The analysis showed no found no significant differences between ChatGPT-4 and the expert panel in assessing liver transplant candidates, demonstrating an overall accuracy of 83.58%, sensitivity of 56.10%, and specificity of 80.49%. Additionally, the Cohen’s Kappa statistic of 0.68 (95% CI: 0.52-0.83) indicated substantial agreement between ChatGPT-4 and the psychologists’ evaluations. The absence of false positives (0%) and a low false negative rate (8%) emphasize ChatGPT-4's cautious and accurate decision-making capabilities. Conclusion: The findings of this study demonstrate that ChatGPT-4 has the potential to serve as an effective screening tool for liver transplant candidates, complementing the work of human experts and enhancing the overall efficiency of the transplant process. While challenges remain, the integration of AI into the liver transplantation workflow could lead to significant improvements in candidate evaluation and patient outcomes, paving the way for the broader application of AI in clinical practice.

Malignant diseases are considered one of the problems of our time, and cancer is defined as the abnormal growth of malignant cells. It is widely accepted as the leading cause of death. There is currently no proven cancer cure. As a result, scientists have concentrated on creating secure and efficient therapies. Research has been done on the effects of naturally occurring substances that have been extracted from living things, such fungus on cancer cells. This study sought to determine the natural products' efficacy against human cancer cell line MCF-7. After A. terreus was isolated from samples of chicken droppings, it was grown on potato and Sabouraud Dextrose Agars (SDA and PDA) with chloramphenicol media. It was then identified using the extracted genomic DNA, the internal transcribed spacer (ITS) region was amplified and sequenced. After 30 days of incubation at 27°C, natural metabolite products were also recovered from the fermentation medium using the ethyl acetate extraction technique. The effectiveness of the fungal extract against the human cancer cell line MCF-7 and the normal human cell line NHF cell was also determined after incubation for 27 hours with the natural extract. The treated human cancer cell line MCF-7 showed decrease of proliferation, whereas the normal human cell line NHF showed no effect. Significant inhibitor compared to cancer line. The IC50 values for MCF-7 cell lines and NHF normal human cell lines were 7.672 and 1431 μg/mL, respectively. In summary, MCF-7 was affected by the natural extract extracted from A. terreus, in contrast to the control. When these results were combined, they showed that the fungal extract is an effective anti-cancer treatment.

Background: Accurate knowledge of cervical vertebral morphometry is crucial for diagnosing pathological conditions and planning surgical interventions. However, data specific to the Bangladeshi population is lacking. Objectives: To determine the morphometric measurements of typical cervical vertebrae (C3-C6) on Magnetic Resonance Imaging (MRI) in adult Bangladeshi people and to analyze potential sex-based differences. Methods: This cross-sectional analytical study was conducted on 70 MRI scans (35 male, 35 female) of typical cervical vertebrae from adult Bangladeshi individuals. Various morphometric parameters were measured using 'Radiant DICOM Viewer' software. Statistical analysis was performed using SPSS version 22.0. Results: The sagittal diameter of the vertebral body was significantly larger in males compared to females for all measured vertebrae (p<0.001). No significant differences were found between sexes in the height and transverse length of the vertebral body, anteroposterior and transverse lengths of the vertebral foramen, dimensions of foramen transversarium, superior articular facets, lamina, pedicle, and spinous process length (p>0.05 for all). Conclusion: This study provides baseline morphometric data for typical cervical vertebrae in adult Bangladeshi individuals. The observed sexual dimorphism in sagittal vertebral body diameter and the lack of significant differences in other parameters contribute to our understanding of population-specific cervical spine anatomy. These findings may have implications for optimizing surgical techniques and implant designs for the Bangladeshi population.

The Middle East and North Africa (MENA) region stands on a global pivot point, impacting the world through its diverse political and economic dynamics. While often recognized for its complex challenges, the region's food security remains surprisingly under-considered, even though it carries significant global repercussions. This research focuses on a concerning trend: the decline of U.S. agricultural exports to MENA, potentially jeopardizing regional stability and impacting global food systems. While EU competitiveness is acknowledged, this research delves deeper than mere identification of competitors such as the EU, dissecting the interplay of their advantages – superior pricing and yields – against the U.S. approach from a policy-perspective. The paper’s ultimate goal is to highlight how the US has suffered from out-competition from the EU, not simply MENA countries’ diversification, leading to the latter’s collapse as a source of staple crop importations, in order to prevent such drastic changes in the future as the same trend in other industries could provide much more devastating for the US. This analysis can impact US policy and inspire a shift towards more sensible and outcome-oriented spending policies.

Introduction: Job satisfaction is defined as “a pleasurable of positive emotional state resulting from the appraisal of one’s bob experiences.” The primary objective of this study is to measure the level of employee satisfaction towards their job. Any employee in any organization has tow tips of job satisfaction. The first is in terms of money gain and second is in terms of mental gains. This study attempts to evaluate the overall job satisfaction of employee in tooth planet dental clinic. Job satisfaction is a result of employee’s perception of how well their job provides those things that are viewed as important. It is generally recognized in the organizational behaviour. Material and Methods: The study was conducted among the sample 20 respondents. Data collected through survey, interview and discussion and with the help of questionnaire, each question in the questionnaire must satisfy the objective of the study. Secondary data are those which have been collected by some other persons for his purpose and published secondary data collected though journals and annual report of the company. The project was carried our tooth planet dental clinic. The collected data were properly edited and processed by computer techniques using excel and word and was entered into a master sheet for analysis and interpretation. Finding and conclusion are based on interpretation of data presented in the form of tables and graphs. Results: In our study 90 % respondents is under 30 years old. 10 % employees under 30-40 years old and employs are under 40-50 years old and no one employees are above 50 years old. In this study 75 % respondents are satisfied with his salary whereas 25 % respondents cannot satisfy with their salary because they want more salary and 0% respondents can’t say anything. It can be interpreted that 20 % respondents say the company cleanness is good, 0 % respondents says the cleanness is somewhat good and 0 % respondents say that company cleanness is somewhat bad. Majority of the employee are agreed with the technology adopted by the organization to finish their work smoothly. Conclusion: Job satisfaction is a key aspect for success of every enterprise, when employees are satisfied work of performance will increase. Job satisfaction of employees in any organization is of paramount importance to achiever the targeted goals on a sustainable basis. The research on the subject has put that building of employee’s competencies and self confidence through training, feedback, and recognition should be a permanent activity of the organization. It is noticed that high job satisfaction is closely related to the feeling of effectiveness on the job.

This study investigated the influence of parental factors and pupils’ school readiness in Umuahia North Local Government Area. To achieve this purpose, three specific objectives and corresponding research questions were also raised to guide the study, three null hypotheses were postulated to guide the study and were tested at .05 level of significance. The descriptive survey research design was employed and used for this study. The population of the study was 4500 ECC II pupils with parents. Purposive and simple random sampling was used to select a sample size of 450 ECC II pupils with parents. Parental’ Factors Questionnaire (PFQ), for parents and Pupils’ School Readiness Rating Scale (PSRRS) for pupils were used as instruments for the study. The face and content validities of the instruments was determined by experts in Psychological Foundations of Education and Early Childhood Education. The Cronbach’s alpha statistical analysis was used to determine the reliability of instruments which yielded reliability indices of 0.73, 0.71 and 0.77 respectively. Mean analysis and standard deviation were used to answer the research questions while t-test and analysis of variance (ANOVA) were used to test the null hypotheses. The study revealed that: there is a significant influence of parental styles, parental socio-economic status, and parental educational background on pupils’ school readiness in Umuahia North Local Government Area. Based on the findings of the study, the study recommended among others that parents should be encouraged to improve on their relationship with their children and choose the right parenting style that will help the children to behave positively in their readiness to adapt to school environment.

The main objective of this study was to determine the occurrence of root resorption of adjacent permanent teeth associated with impacted maxillary canines and to identify a predictive model for RR by means of orthopantomographic variables, with the intention of reducing the need for additional cone beam computed tomography (CBCT) imaging. Materials and Methods: The sample consisted of 70 consecutive patients (43 females and 27 males, with a mean age of 17.03 years). A total of 90 impacted maxillary canines and adjacent teeth were analyzed using panoramic and CBCT radiographs. Univariable and multivariable analyses were respectively evaluated using chi-square test, Student's t-test, and binary logistic regression analysis. Results: The prevalence of root resorption of the permanent teeth adjacent to the impacted canine was more frequent in females than in males (ratio 1.8), but without significant association. No relationship was found between the sex, the type, the side, and the buccopalatal position of the impacted canine and root resorption. A statistically significant relationship was noted between the canines located mesial to the midline of the lateral incisor and root resorption on the maxillary incisors. Therefore, adjacent root resorption caused by impacted maxillary canines can be affirmed to exhibit a greater amount of resorption as the position proximity of the canine crown and lateral incisor root increases. In this prediction model, the patient’s age, the mesio-distal position, and the inclination of the impacted canine were the strongest predictors for RR. Conclusion: The final prediction model for RR based on the available panoramic radiographs could be a helpful tool in justifying the need of additional CBCT examination.

This study attempts to heighlight the existing mobile court system in Bangladesh. It has been attempted to highlight the legal framework regarding mobile court in Bangladesh. The journey of mobile court, it’s success, it’s drawbacks and public utility has been focused in this study. The trial system of mobile court, it’s justification, it’s bindingness and achivemnt has been focused in this study. Role of mobile court is very significant in the context of bangladesh. The application of mobile court is differnt field is strongly visible. Now the question arises, whether the people apprecite the mobile court or not? So many leading cases have been solved by appling mobile court. So, this study will try to show in which procedure mobile court can be apllied for the beneficial interest as a spedier tool?

CEMAC landlocked countries (specifically Chad and Central African Republic) depend solely on Cameroon who serves as a transit state for the transportation of goods to and from these landlocked countries. Thus, the entering into bilateral conventions helped to facilitate and create transit corridors for the transportation of goods amongst these countries. Meanwhile Cameroon which serves as a transit state to these landlocked countries has four modes of transport (road, rail, water and air), while Chad and Central African Republic have just two or three principal mode of transportation namely road, rail and air. However, these modes of transportation pose unique challenges, particularly in countries with limited infrastructure. Through doctrinal analysis of both primary and secondary sources of data, this article seeks to examine the legal framework in resolving disputes arising from contracts of multimodal carriage of goods available to landlocked countries of the Central African Economic and Monetary Community (CEMAC). Our findings revealed that, the legal framework in resolving disputes arising from contracts of multimodal carriage of goods available to landlocked countries are not effectively implemented. As a result, some salient recommendations have been made to bridge the gap between theory and practice amongst these countries in general and Cameroon in particular.

This study states that while legal rules affecting the dead often have a practical aspect, one of the primary, and yet unrecognized, forces driving the creation of these legal rules are cultural norms, including dignity and respect for decedents’ wishes. In reaching this conclusion, this study adopts an interest theory approach to rights. Interest Theory recognizes persons currently incapable of making choices, such as the mentally incapacitated and infants, as potential right-holders. Using interest theory, this study argues that the dead, although unable to make real-time choices, are capable of being legal right-holders. Furthermore, certain interests, such as the interest in seeing one’s offspring survive or the interest in one’s reputation, can survive death. When these interests are protected by legal rules, the dead are granted de facto legal rights that can be enforced against the living. The law also strives to honor a decedent’s wishes and to protect his interests because society has chosen, within limits, to adhere to the principle of autonomy. This is why courts often consider a decedent’s wishes when determining the disposition of his corpse or property.

Dengue and Zika viruses belong to the arbovirus family and are emerging infectious diseases transmitted by Aedes mosquitoes, prevalent in tropical and subtropical regions. Their proliferation is facilitated by factors such as adaptability, climate change, and globalization. Despite surveillance efforts by the World Health Organization (WHO), global monitoring remains limited. This study aimed to ascertain the seroprevalence of these diseases among travelers returning from endemic regions. A prospective, cross-sectional study was conducted on 2023 targeted travelers in the Democratic Republic of Congo and the Central African Republic. Participants were selected based on specific criteria over a six-month period. Blood samples were assessed in our laboratory using the VirClia® automated chemiluminescence immunoassay to detect Dengue and Zika IgG and IgM antibodies. The analysis involved interpretation of the results using a specific formula. The study included a young, asymptomatic cohort, averaging 30.8 years of age. Travelers were categorized according to age, sex, and country of residence. Dengue virus seroprevalence was 18.6%, predominantly IgG. The prevalence of ZIKV infection was 12.9%. The seroprevalence of these arboviruses varies according to sociodemographic factors. Epidemiological studies play a crucial role in assessing the prevalence of vector-borne diseases and informing public health strategies to mitigate their global impact.